STEPPED ALARM METHOD FOR PATIENT MONITORS

• US 20140043164A1
• Filed: 04/04/2012
• Published: 02/13/2014
• Est. Priority Date: 04/14/2011
• Status: Active Grant

• Current Assignee: Koninklijke Philips Electronics N.V. (Koninklijke Philips N.V.)
• Original Assignee: Koninklijke Philips N.V.
• Inventors: Lambert, Nicolaas, Lee, Kwok Pun, De Waele, Stijn, Gross, Brian David, Nielsen, Larry, Saeed, Mohammed, Eschelman, Larry James, Feddes, Bastiaan, Flower, Abigail Acton, Tjan, Davy Hin Tjiang, Frassica, Joseph J., Cao, Hanqing
• Granted Patent: US 9,189,941 B2
• Time in Patent Office: Days
• US Class Current: 340/573.1
• CPC Class Codes: A61B 5/14551 for measuring blood gases
• CPC Class Codes: A61B 5/746 Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms alarms per se G08B
• CPC Class Codes: G08B 21/02 Alarms for ensuring the safety of persons
• CPC Class Codes: G08B 21/04 responsive to non-activity, e.g. of elderly persons G08B21/06 takes precedence
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems

Abstract

A system (202) generates patient alarms using a stepped alarm scheme. The system (202) includes one or more processors (220) programmed to receive physiological scores and/or physiological parameter values; compare the physiological scores and/or the physiological parameter values to a plurality of alarm levels; in response to a physiological score and/or physiological parameter value falling within an uninhibited zone of the alarm levels, issue an alarm; and set a first inhibition period for the uninhibited alarm level after issuing the alarm.

Claims

1. A system for generating patient alarms using a stepped alarm scheme, said system comprising:

one or more processors programmed to;

receive physiological scores and/or physiological parameter values;

compare the physiological scores and/or the physiological parameter values to a plurality of alarm levels;

in response to a physiological score and/or physiological parameter value falling within an uninhibited zone of the alarm levels, issue an alarm; and

,

set a first inhibition period for the uninhibited alarm level after issuing the alarm.

2. The system according to claim 1, wherein receiving physiological scores and/or physiological parameter values includes calculating the physiological scores from the physiological values.

3. The system according to claim 1, wherein the physiological scores are calculated using an abnormality scoring system, the abnormality scores based on a plurality of vital sign measurements of the physiological parameter values.

4. The system according to claim 3, wherein the abnormality scoring system is piecewise linearized.

5. The system according to claim 1, wherein the first inhibition period is set in response to acknowledgement of the alarm.

6. The system according to claim 1, wherein the processors are further programmed to:

generate the plurality of alarm levels from an initial alarm level and a delta, wherein the plurality of alarm levels include the initial alarm level and one or more alarm levels of increasing severity, the alarm levels being spaced from the initial alarm level and other ones of the alarm levels by increments of the delta.

7. The system according to claim 1, wherein the processors are further programmed to

in response to issuing an alarm, set a second inhibition period across all of the plurality of alarm levels, the second inhibition period being shorter than the first inhibition period.

8. The system according to claim 1, wherein the processors are further programmed to:

evaluate abnormality scores of the physiological scores for a change in composition; and

,

in response to the change in the composition of the abnormality scores, issue a second alarm; and

,

set an inhibition period for the uninhibited alarm level after issuing the second alarm.

9. The system according to claim 1, wherein the processors are further programmed to:

in response to at least one of a plurality of rearming conditions being met, rearming the uninhibited alarm level, the rearming conditions including;

a first rearming condition, which includes;

a predetermined amount of time passed;

no intervention was administered during the predetermined amount of time; and

,

a current physiological score and/or physiological parameter value worsened by a predetermined amount compared to the physiological score and/or physiological parameter value; and

,

a second rearming condition, which includes;

the predetermined amount of time passed;

intervention was administered during the predetermined amount of time; and

,

a rearming condition is met.

10. The system according to claim 9, wherein the physiological score and/or physiological parameter value includes a vital signs index (VIX) value calculated from the physiological parameter values using a predictive model of stability of a physiological condition.

11. The system according to claim 9, wherein the physiological score and/or physiological parameter value includes a baseline vital signs index (VIX) value indicating a trend of a VIX over a past predetermined amount of time.

12. The system according to claim 1, further including at least one of:

one or more sensors measuring one or more vital signs of the physiological parameter values;

one or more user input devices receiving values of the physiological parameter values and/or the physiological scores; and

a communications network exchanging physiological scores and/or physiological parameter values between the system and other components connected to the communications network;

wherein the physiological scores and/or the physiological parameter values are received from at least one of the sensors, the user input devices, and the communications network.

13. A method for generating patient alarms using a stepped alarm scheme, the method comprising:

receiving physiological scores and/or physiological parameter values;

comparing the physiological scores and/or the physiological parameter values to a plurality of alarm levels; and

,

in response to a physiological score and/or physiological parameter value falling within an uninhibited zone of the alarm levels, issuing an alarm; and

,

setting a first inhibition period for the uninhibited alarm level after issuing the alarm.

14. The method according to claim 13, wherein receiving physiological scores and/or physiological parameter values includes calculating the physiological scores from the physiological values.

15. The method according to claim 13, further including:

evaluating abnormality scores of the physiological scores for changes in composition; and

in response to a change in the composition of the abnormality scores, issuing an second alarm; and

,

setting an inhibition period for the uninhibited zone of the alarm levels after issuing the second alarm.

16. The method according to claim 13, wherein the first inhibition period is set in response to acknowledgement of the alarm.

17. The method according to claim 13, further including:

generating the plurality of alarm levels from an initial alarm level and an increments delta, wherein the plurality of alarm levels include the initial alarm level and one or more alarm levels of increasing severity, the alarm levels spaced from the initial alarm level and other ones of the alarm levels by one or more of the increments delta.

18. The method according to claim 13, further including:

in response to at least one of a plurality of rearming conditions being met, rearming the uninhibited alarm level, the rearming conditions including;

a first rearming condition, which includes;

a predetermined amount of time passed;

no intervention was administered during the predetermined amount of time; and

,

a current physiological score and/or physiological parameter value worsened by a predetermined amount compared to the physiological score and/or physiological parameter value; and

,

a second rearming condition, which includes;

the predetermined amount of time passed;

intervention was administered during the predetermined amount of time; and

,

a rearming condition is met.

19. A non-transitory computer readable medium carrying software which controls one or more processors to perform the method according to claim 13.

20. A system for rearming an inhibited alarm level, said system comprising:

one or more processors programmed to;

receive physiological scores and/or physiological parameter values;

compare the physiological scores and/or the physiological parameter values to a plurality of alarm levels;

in response to a physiological score and/or physiological parameter value falling within an uninhibited zone of the alarm levels, issue an alarm;

set an inhibition period for the uninhibited alarm level;

in response to setting the inhibition period, wait a predetermined amount of time;

determine whether intervention measures were administered during the predetermined amount of time;

in response to determining intervention measures were not administered and a current physiological score and/or physiological parameter value worsened by a predetermined amount compared to the physiological score and/or physiological parameter value, rearm the uninhibited alarm level.